A large number of studies have reported on associations of human coronary heart disease (CHD) and certain persistent bacterial and viral infections. We review the epidemiological and clinical evidence on CHD and Helicobacter pylori, Chlamydia pneumoniae, and cytomegalovirus (CMV), as well as possible mechanisms. The association between CHD and H pylori may be accounted for by residual confounding from risk factors. Although the association between C pneumoniae and CHD is stronger, the sequence of infection and disease is uncertain. As regards CMV, a limited number of patients with classic atherosclerotic coronary artery disease have been studied. Further studies are needed to resolve these uncertainties.

Original publication

DOI

10.1016/S0140-6736(97)03079-1

Type

Journal article

Journal

Lancet

Publication Date

09/08/1997

Volume

350

Pages

430 - 436

Keywords

Animals, Chlamydia Infections, Chronic Disease, Controlled Clinical Trials as Topic, Coronary Disease, Cytomegalovirus Infections, Helicobacter Infections, Humans, Odds Ratio